Organization
YOUTH FOR CHANGE
Active
Other names
Paradise Specialty Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY LISA KELLY (NPI AUTHORIZED OFFICIAL)
(530) 894-5933
Entity
Organization
Contact information
Practice address
5910 CLARK RD STE G, PARADISE, CA 95969-4859
(530) 894-5933
Mailing address
260 COHASSET RD STE 120, CHICO, CA 95926-2282
(530) 894-5933
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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